Supervisor, Coding Denials

Coding Denial Supervisor to provide direction to a team of Coding Denial Specialists, who are responsible for working on assigned claim edits and rejection work queues. The Coding Denial Supervisor will ensure timely investigation and resolution of health plan denials. Additionally, the Coding Denial Supervisor will assist in determining appropriate actions and providing resolutions for health plan denials.

• Ensuring the timely investigation and resolution of health plan denials
• Assist in Implementing and maintaining policies and procedures for denial management
• Providing training and support to the team members to enhance their skills and knowledge
• Escalate coding and processing issues, based on denial trending.

• Five years’ experience in physician medical billing with emphasis on research and claim denials.
• Graduate with life science background, paramedic/alternate medicine background is preferred
• Valid AAPC/AHIMA coding certification; specialty certification is preferred